Contact Us

Have questions?  Please use the form on the right to contact Treasured Bits.  Thank you. 

#14
Highland Park, IL 60035
USA

847-651-0919

Treasured Bits is a not-for-profit 501C3 organization raising money for Illinois active-duty military, veterans, seniors and homeless.  The monies raised will be used for household related expenses, security deposits and other services to keep people in their homes.

Application Form for Assistance

Name *
Name
Address *
Address
Phone *
Phone
If less than 2 years, please list previous address below
Which describes you best
Are You Currently Deployed? *
What Branch of the Military?
Applicant's Name (If different than hero):
Applicant's Name (If different than hero):
Applicant's Address
Applicant's Address
If different than listed above
Applicant's Phone
Applicant's Phone
What are You Requesting?
Company 1 Address
Company 1 Address
Phone Company 1
Phone Company 1
Fax Company 1
Fax Company 1
$
Company 2 Address
Company 2 Address
Phone Company 2
Phone Company 2
Fax Company 2
Fax Company 2
$
Company 3 Address
Company 3 Address
Phone Company 3
Phone Company 3
Fax Company 3
Fax Company 3
$
Company 4 Address
Company 4 Address
Phone Company 4
Phone Company 4
Fax Company 4
Fax Company 4
Company 5 Address
Company 5 Address
Phone Company 5
Phone Company 5
Fax Company 5
Fax Company 5
$
Company 6 Address
Company 6 Address
Phone Company 6
Phone Company 6
Fax Company 6
Fax Company 6
$
Financial Information
Are you currently employed? *
Supervisor's Name
Supervisor's Name
Supervisor's Phone Number
Supervisor's Phone Number
Is your spouse currently employed?
Supervisor's Name
Supervisor's Name
Supervisor's Phone Number
Supervisor's Phone Number
List All Sources of Income
$
$
$
$
$
$
$
$
$
$
Are you currently deployed and not receiving the income noted above?
$
Assets - List current estimated value for all applicable assets
$
$
$
$
$
$
$
$
In the past 24 months have you applied for assistance?
In the past 24 months have you received assistance?
Date assistance received
Date assistance received
$
Date 2
Date 2
$
Date 3
Date 3
$
Date 4
Date 4
$
List all additional people who live in the household (include all children)
Name of resident
Name of resident
$
Name of resident 2
Name of resident 2
$
Name of resident 3
Name of resident 3
$
Name of resident 4
Name of resident 4
$
Name of resident 5
Name of resident 5
$
Name of resident 6
Name of resident 6
$
To submit request
Include the documents listed below (as applicable) that are required with submission of completed application
Signed and submitted date
Signed and submitted date

Submit application and all required documentation by either:

1. Fax:       847-639-9250
2. Email:  Support@TreasuredBits.org
3. Mail:    PO Box 92, Cary, IL 60013

Allow up to 15 days to process request.